Individual provider Active NPI

Megan Marble, SLP

  • Speech-Language Pathologist
  • Reno, NV
National Provider Identifier
1003247206
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2083 Issued in NV
Practice address
4741 Caughlin Pkwy Ste 2
Reno, NV 89519-0983
Phone
(775) 376-1934
Fax
(775) 376-1936
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SI60423769 WA
Speech-Language Pathologist 235Z00000X SP-2083 NV Primary

Addresses

Primary practice location

4741 Caughlin Pkwy Ste 2
Reno, NV 89519-0983

Mailing address

990 Marsh Ave
Reno, NV 89509-2530
Phone (530) 559-4085

Other names 1

  • Megan Moyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230303002385 NV Practitioner - Qualified Speech Language Pathologist 7810360344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI60423769WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Peak Therapies Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients

Locations

4741 Caughlin Pkwy
Ste 2
Reno, NV 89519
Phone (775) 375-1934

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1003247206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MARSH AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092530",
            "telephone_number": "530-559-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 CAUGHLIN PKWY STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190983",
            "telephone_number": "775-376-1934",
            "fax_number": "775-376-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "MEGAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI60423769",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MOYER",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.